控制血糖水平對外科危重患者預后的影響_《中國普外基礎與臨床雜志》

作者：

于健春

中國醫學科學院北京協和醫院外科（北京 100730）;

關鍵詞：

外科危重患者血糖控制預后

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導出 下載 收藏 掃碼 引用

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創傷、手術、感染、燒傷等極度應激狀況下的危重患者常出現應激性高血糖；非糖尿病危重患者類似糖尿病的癥狀；糖尿病危重患者則高血糖程度明顯加重。創傷后出現不同水平的高血糖，隨著血糖的增高，其死亡危險性也呈階梯樣成倍增長［1，2］……

引用本文： 于健春. 控制血糖水平對外科危重患者預后的影響. 中國普外基礎與臨床雜志, 2009, 16(12): 956-957. doi: 復制

1.	Laird AM, Miller PR, Kilgo PD, et al. Relationship of early hyperglycemia to mortality in trauma patients [J]. J Trauma, 2004； 56(5): 1058-1062.
2.	Srinivasan V， Spinella PC, Drott HR, et al. Association of timing, duration, and intensity of hyperglycemia with intensive care unit mortality in critically ill children [J]. Pediatr Crit Care Med, 2004； 5(4): 329-336.
3.	Ramos M, Khalpey Z, Lipsitz S, et al. Relationship of perioperative hyperglycemia and postoperative infections in patients who undergo general and vascular surgery [J]. Ann Surg， 2008; 248(4): 585-591.
4.	van den Berghe G, Wouters P, Weekers F, et al. Intensive insulin therapy in critically ill patients [J]. New Engl J Med, 2001； 345(19): 1359-1367.
5.	Bellomo R. Does intensive insulin therapy protect renal function in critically ill patients? [J]. Nat Clin Pract Nephrol， 2008; 4(8):412-413.
6.	Ray KK, Seshasai SR, Wijesuriya S, et al. Effect of intensive control of glucose on cardiovascular outcomes and death in patients with diabetes mellitus: a meta-analysis of randomized controlled trials [J]. Lancet， 2009; 373（9677）: 1765-1772.
7.	Dellinger RP, Carlet JM， Masur H, et al. Surviving sepsis campaign guidelines for management of severe sepsis and septic shock [J]. Crit Care Med, 2004； 32(3): 858-873.
8.	Dellinger RP, Levy MM, Carlet JM, et al. Surviving Sepsis Campaign: international guidelines for management of severe sepsis and septic shock: 2008 [J]. Crit Care Med， 2008; 36(1): 296-327.
9.	NICE-SUGAR Study Investigators， Finfer S, Chittock DR, et al. Intensive versus conventional glucose control in critically ill patients [J]. N Engl J Med, 2009; 360(13): 1283-1297.
10.	Charles Vega, Laurie Barclay. New guidelines address treatment of hospitalized patients with high blood glucose levels [J]. Endocr Pract, 2009; 15: 1-15. Diabetes Care. Published online May 8, 2009.

1. Laird AM, Miller PR, Kilgo PD, et al. Relationship of early hyperglycemia to mortality in trauma patients [J]. J Trauma, 2004； 56(5): 1058-1062.
2. Srinivasan V， Spinella PC, Drott HR, et al. Association of timing, duration, and intensity of hyperglycemia with intensive care unit mortality in critically ill children [J]. Pediatr Crit Care Med, 2004； 5(4): 329-336.
3. Ramos M, Khalpey Z, Lipsitz S, et al. Relationship of perioperative hyperglycemia and postoperative infections in patients who undergo general and vascular surgery [J]. Ann Surg， 2008; 248(4): 585-591.
4. van den Berghe G, Wouters P, Weekers F, et al. Intensive insulin therapy in critically ill patients [J]. New Engl J Med, 2001； 345(19): 1359-1367.
5. Bellomo R. Does intensive insulin therapy protect renal function in critically ill patients? [J]. Nat Clin Pract Nephrol， 2008; 4(8):412-413.
6. Ray KK, Seshasai SR, Wijesuriya S, et al. Effect of intensive control of glucose on cardiovascular outcomes and death in patients with diabetes mellitus: a meta-analysis of randomized controlled trials [J]. Lancet， 2009; 373（9677）: 1765-1772.
7. Dellinger RP, Carlet JM， Masur H, et al. Surviving sepsis campaign guidelines for management of severe sepsis and septic shock [J]. Crit Care Med, 2004； 32(3): 858-873.
8. Dellinger RP, Levy MM, Carlet JM, et al. Surviving Sepsis Campaign: international guidelines for management of severe sepsis and septic shock: 2008 [J]. Crit Care Med， 2008; 36(1): 296-327.
9. NICE-SUGAR Study Investigators， Finfer S, Chittock DR, et al. Intensive versus conventional glucose control in critically ill patients [J]. N Engl J Med, 2009; 360(13): 1283-1297.
10. Charles Vega, Laurie Barclay. New guidelines address treatment of hospitalized patients with high blood glucose levels [J]. Endocr Pract, 2009; 15: 1-15. Diabetes Care. Published online May 8, 2009.

《中國普外基礎與臨床雜志》

控制血糖水平對外科危重患者預后的影響

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

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《中國普外基礎與臨床雜志》

控制血糖水平對外科危重患者預后的影響

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

Format

Content

摘要全文圖表視頻參考文獻施引文獻補充材料